Medicaid
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Anticipated Cuts to Uncompensated Care Funds Increase Pressure on Florida to Expand Medicaid
Today I had the pleasure of joining the League of Women Voters of Florida and Florida Legal Services on a conference call to discuss a topic of utmost importance – the decision facing Florida’s policy makers as to whether or not to expand Medicaid – especially in light of the scheduled expiration of Florida’s Low…
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Indiana Becomes the 29th State (Including DC) to Expand Medicaid
[Editor’s Note: The terms and conditions and letter issued by federal CMS are available through these links: agreement, special terms and conditions and letter.] Today Governor Mike Pence received approval from federal CMS for a Section 1115 waiver to implement his Healthy Indiana Plan (HIP2.0) and extend coverage to as many as 350,000 Hoosiers –…
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Indiana Agreement Wins the Award for Bureaucratic Complexity and Red Tape
I am still waiting for paper but here is what I know about Indiana so far. The good news is that Indiana becomes the 29th state (including D.C.) to extend Medicaid coverage. The less than good news is that this is an enormously complicated program which will likely prevent some low-income adults from getting the…
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CMS Clarifies Health Coverage Options for Low-Income Pregnant Women
It’s critical that expectant mothers have access to comprehensive, affordable coverage and continuity of care during this critical time of life. The Affordable Care Act expanded coverage options for pregnant women but the intersection of these changes to the law with other state and federal policies is a bit confusing to untangle. Recent federal guidance…
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Modern Era Medicaid: Findings from a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP as of January 2015
One year into implementation, the Affordable Care Act (ACA) has broadened Medicaid’s base of coverage for the low-income population and accelerated state efforts to move from outdated, paper-driven enrollment processes to a new modernized enrollment experience. Given the fast-paced policy environment leading up to when the ACA’s key coverage provisions went into effect on January 1, 2014, an abbreviated report based…
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Kaiser Family Foundation & CCF Release 50-State Survey on Medicaid and CHIP
It’s that time again – the release of the annual 50-state survey on Medicaid and CHIP eligibility, enrollment, renewal and cost-sharing policies conducted by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured and the Georgetown University Center for Children and Families. Today, my co-authors from Kaiser – Samantha Artiga, Jessica Stephens, and Alexandra…
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The Importance of Medicaid Expansion to Improve Children’s Health Insurance Rates
By Alisa Chester and Sarah Koslov This week, two important studies confirmed our understanding that improving access to Medicaid and CHIP for children is a financially sound public investment that not only leads to greater health coverage rates but also results in increased college attendance, lower mortality rates, and higher earned wages. Together, the research…
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Two New Reports Focus on Arizona Children Who Lost CHIP Coverage and Lessons Learned for Future
Fourteen thousand children in Arizona lost their health insurance at the end of January 2014 when the state ended its KidsCare program for low-income children, becoming the only state in the country without an active Children’s Health Insurance Program (CHIP). Two new reports released by the Georgetown University Center for Children and Families today focus…
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Governor Haslam Announces Details of His Tennessee Medicaid Expansion Waiver
Yesterday, Governor Haslam put some meat on the bones of the “Insure Tennessee” plan when he released more details about his version of Medicaid expansion. The Governor also called for a special session of the legislature to consider his plan to commence on Feb. 2nd. One highly publicized feature of the Tennessee plan is that…
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Medicaid to 26: Reaching out to Former Foster Youth
By Kari Siddiqui, Schuyler Center for Analysis and Advocacy One of the most popular provisions of the Affordable Care Act (ACA) allowed young adults to stay on their parents’ health insurance until they turned 26. However, less talked about are the strides the ACA made for youth who were in foster care. Recognizing that young…
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Tennessee Proposal Highlights Importance of Medicaid Expansion for Residents and Providers
By Sean Miskell This week, Governor Haslam announced his plan to expand Medicaid via a two-year pilot program called Insure Tennessee. Like other formerly recalcitrant states that are now embracing expansion, Tennessee is pursuing a state-specific approach that differs from ‘traditional’ Medicaid expansion. One element of this plan – in which the Tennessee Hospital Association…
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Reports this Week: Multiple States Mulling Medicaid Expansion
There has been some interesting movement this past week around the Medicaid expansion issue, especially in Tennessee. One emerging theme continues – development of state-created alternative plans to use the Medicaid dollars while still extending health coverage to newly eligible low-income adults. Here are some of the more interesting stories: Obviously Tennessee leads here with…
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Communicating the Connection between Parent’s and Children’s Health in States Expanding Medicaid
By Liane Wong, The David and Lucile Packard Foundation It should be common sense to say that policies and programs which improve the health and well-being of parents will also help their children, right? I recently joined the Aspen Institute’s ThinkXChange to discuss priorities and emerging opportunities across the country to develop two generation approaches—where…
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How Much is the Federal Government Spending on Children?
December’s issue of Health Affairs is dedicated to the subject of children’s health, particularly how children fare in the national health care system. The Scheduled Squeeze On Children’s Programs: Tracking The Implications of Projected Federal Spending Patterns, written by Urban Institute scholars C. Eugene Steuerle and Julia B. Isaacs, reviews how the federal government funds…
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A Step Forward For Lawfully Present Immigrants Living in Poverty
It’s no secret that during last year’s open enrollment many applicants for health coverage in immigrant families faced major barriers to enrolling in marketplace coverage. One big problem was that lawfully present immigrants with income under 100 percent FPL—who are ineligible for Medicaid based on their immigration status but are eligible for premium tax credits…
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Why Does Florida Still Have one of Highest Uninsured Rates for Kids? What Can be Done to Help?
Earlier this week I released a brief and held a webinar with the Florida Philanthropic Network on Florida’s uninsured children. The brief provides an overview of the demographics of Florida’s kids and outlines some policy decisions that will impact Florida’s high uninsured rate in the future. It will come as no surprise to regular Say Ahhh!…
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Wyoming Medicaid Waiver Could Pass Muster with CMS
Just as everyone was preparing Thanksgiving dinner, the state of Wyoming released its version of Medicaid expansion – called the Strategy for Health, Access, Responsibility, and Employment (SHARE) program. As is in vogue with this round of Medicaid expansion proposals, this one will require a Section 1115 Medicaid waiver, but unlike some recent submissions, Wyoming’s…
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A Two-Generation Approach to Behavioral Health Helps Children and Parents in North Carolina
By Sophia Duong Research has shown that parents’ behavioral health significantly impacts their children’s development, but for many low-income parents it is difficult to seek behavioral health treatment without health coverage. My home state of North Carolina recognizes the connection between parent and child health, and provides a child-parent treatment approach through Medicaid. In North…
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Children’s Health Coverage in Florida: Fewer Uninsured But Challenges Lie Ahead
Florida’s rate of uninsured children has declined in recent years, though it remains considerably higher than that of the nation and other southeastern states. This encouraging trend could be disrupted, however, by policy decisions in 2015 that could negatively impact as many as 400,000 children. This brief examines why Florida has one of the highest…
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Policy Brief: Resolving Enrollment Conflicts as States Expand Medicaid
I wrote about this issue a couple months ago here on the blog and there was enough interest we’ve turned that piece into a policy brief. Basically, states moving towards expanding Medicaid have to deal with the fact that significant numbers of people who will now be eligible for Medicaid are already enrolled in health plans…